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Archive for the ‘Medicine’ Category

Basics of second medical opinion

Wednesday, January 6th, 2010

A second opinion is always a good idea when your life or quality of life is at stake. Medical conditions sometimes occur that your primary care physician can’t treat. You may need a specialist, whom you’ve never met, for a second medical opinion. Putting your life into the hands of a stranger deserves some research.

When should you seek a second opinion?
Because of the increase in medical knowledge and new treatments, it is difficult for any one physician to be aware of all the latest information. One result is patients and their physicians together are seeking second opinions so better and more informed decisions can be made. For minor medical issues-a cold, flu bug, a scratch or scrape, allergies, etc you probably won’t need a second opinion.

However, there are certain times when a second opinion is absolutely essential. So when is the best time to get a second medical opinion?
• Having major surgery
• Questioning whether surgery is the only option
• Unhappy that your regular doctor can’t diagnose your problem
• Having trouble talking with your current doctor(s)
• Not seeing improvement in your medical condition
• Diagnosed with a life-threatening disease such as cancer, heart disease or brain tumor
• Told a second surgery is recommended
• Having multiple medical problems
Getting a good second opinion
some physicians disagree about whether you should get a “blind” second opinion (when medical records, test results and first physician’s opinion are not

made available to the second doctor) or if this information should be shared with the second opinion doctor.
Questions to ask during a second opinion appointment
• Is there any chance the medical problem could have a different diagnosis?
• Are there any alternative forms of treatment available?
• What are the likely results if you wait or don’t have the treatment?
• What are the risks associated with the treatment(s)?
• Are there any side effects or residual effects from each treatment option?
• How is the treatment plan expected to improve your health or quality of life?
• How long is the recovery period?
How can I get another medical opinion?
• Your doctors may refer you to other doctors or specialists.
• Ask friends or relatives who’ve been treated for the same condition.
• Ask for a list of approved doctors from your medical insurance company or your employer’s health plan administrator.
• Call your local medical society.
• Contact a hospital or medical school you’re comfortable with and ask them to refer you to a specialist for a second medical opinion.
• Verify the doctor’s credentials through your state’s medical board once you’ve decided who you’ll see for a second medical opinion.

Blood Pressure Medication – EXFORGE

Monday, December 7th, 2009

The use of medication as the primary form of treatment for High Blood Pressure has come on in leaps and bounds over the past fifty years and what was once a very inexact science has now become one where by and large it is very exact. The treatment programmes that were instigated seem very primitive in hindsight and thankfully now with the introduction of increasingly sophisticated drug therapy matters have moved ahead somewhat.

The major treatment approach of High Blood Pressure Medication at the time largely consisted of advising patients to have a diet that was low in salt, lots of “bed rest” and possibly the use of sleeping pills. Drug treatment for those suffering from High Blood Pressure (Hypertension) can significantly increase the lifespan and reduce mortality rates accordingly and to millions of people the world over (myself included) these drug related therapies have been very much a life saver.

However as with most things, the use of drug therapy, whilst extremely useful in most cases, is not always the best choice for people in certain cases.

For those suffering with moderately raised blood pressure, mild incidences of Hypertension and no incidences of Heart Problem, you can usually bring blood pressure down to normal levels in a bout a year of starting lifestyle changes. Changes like these can help sufferer’s of high blood pressure manage HBP over the longer term as well since as we all know Hypertension does not go away. Successful management of high blood pressure like this ensures that in some cases (and it does have to be stressed here that we are talking about some cases) the use of medication can and does become unnecessary.

Whenever and wherever, the instigation of non drug therapies is encouraged and even if not successful in isolation, the end result means that the amounts of drugs and the types used can be of a more reasonable amount and type.

Talk to your doctor about what your blood pressure goal should be. Once you establish a blood pressure goal, work with your doctor to reach that goal and keep your numbers at a healthy level. This may mean making healthy lifestyle changes. Some people are able to successfully lower their blood pressure this way. However, most people also need the help of prescription medications to further lower their blood pressure. And most people need more than one medication to reach their blood pressure goal.

EXFORGE and EXFORGE HCT are prescription medicines for the treatment of high blood pressure. EXFORGE contains two prescription medicines: amlodipine, a calcium channel blocker (CCB), and valsartan, an angiotensin receptor blocker (ARB). EXFORGE may be used when any one of the following medicines to lower your high blood pressure is not enough: a dihydropyridine CCB or an ARB. It may also be used as the first medicine to lower high blood pressure if your doctor decides you are likely to need more than one medicine. EXFORGE HCT contains three prescription medicines: amlodipine, valsartan, and hydrochlorothiazide (a diuretic or water pill). EXFORGE HCT may be used to lower blood pressure in adults when any two of the following medicines to lower high blood pressure have been tried first: a CCB, an ARB, and a diuretic.